165718 11/12/2008 CITY OF CARMEL, INDIANA VENDOR: 00350309 Page 1 of 1
ONE CIVIC SQUARE CRIPE
f CARMEL, INDIANA 46032 PO sox 2132 CHECK AMOUNT: $26,650.04
wi off `o INDIANAPOLIS IN 46206 -2132 CHECK NUMBER: 165718
CHECK DATE: 1111212008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBE A MOUNT D ESCRIPTION
2200 T 4340100 19146 2014465 26,650.00 WEST SIDE CONSTR INSF
M y,,
I
Invoice
cry e
Architects +Engineers P.O. Box 2132 Indianapolis, Indiana 46206 -2132 Telephone 317 844 6777
City of Carmel October 28, 2008
City of Carmel Project No: 0990488 -50300
Invoice No: 2014465
One Civic Square
Carmel IN 46032
Project: 0990488 -50300 Carmel Westside Improvements
Owner's Representative
Work to be completed for a not -to- exceed fee of $69,625.00, which includes $3,000.00 for reimbursables
(billed as fixed fee)
Additional Services #27 (PO #19146)
Professional services from September 13, 2008 to October 10, 2008
Fee
Percent
Phase Fee Complete Earned Current
Owner's Representative 66,625.00 71.00 47,303.75 26,650.00
Reimbursables 3,000.00 0.00 0.00 0.00
Total Fee 69,625.00 Total Earned 47,303.75
Previous Fee Billing 20,653.75
Current Fee Billing 26,650.00
Total Fee 26,650.00
Total this invoice $26,650.00
Authorized by:
Michael A. Gr al Services Director
^fro `3 S
co
9ECEIVED P
OCT 20 o
M CARTEL
ENGINEER ti
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Please return remittance copy of invoice with your payment.
If you have any questions, please call Telephone 317 844 6777.
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
1
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Cripe Architects Engineers
Purchase Order No.
P.O. Box 2132
Terms
ndianapolis, IN 46206 -2132
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
West i e Road Irnprovements
eonstructlon inspection
Total
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
V4JCH-ER NO. WARRANT NO.
ALLOWED 20
�Ape`Arshizests €ngh;eem IN SUM OF
P.O. Box 2132
Indianapolis, IN 46206 -2132
$26,650.00
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice( or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
00 which charge is made were ordered and
received except
20 tag
Sign u e
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund